早期康复训练在脑卒中偏瘫患者住院期的应用效果

Application Effect of Early Rehabilitation Training in Hospitalization of Stroke Patients with Hemiplegia

目的:探讨早期康复训练在脑卒中偏瘫患者住院期的应用效果。方法:选取2018年1月~2019年5月收治我院的脑卒中偏瘫患者60例,随机分成对照组和观察组各30例。对照组患者入院后予以脑卒中偏瘫常规治疗,观察组患者在予以常规治疗的基础上联合予以早期康复训练。干预4周后,分别比较两组患者的临床疗效、运动功能、日常生活活动能力改善情况以及生活质量。结果:观察组的总治疗有效率高于对照组(P<0.05);两组患者治疗后的Fugl-Meyer运动量表、Barthel指数量表得分均高于治疗前(P<0.05),且观察组患者的Fugl-Meyer运动量表、Barthel指数量表评分高于对照组(P<0.05)。治疗后两组患者的GQOLI评分、KPS评分均较治疗前改善(P<0.05),且观察组的GQOLI评分、KPS评分优于对照组(P<0.05)。结论:在脑卒中偏瘫患者的住院期临床治疗中配合早期康复训练,能够显著改善患者肢体运动功能,提高日常生活活动水平,并有效改善患者的心理状态,取得较好的治疗效果,值得临床上广泛推广。

Objective: To explore the application effect of early rehabilitation training in hospitalization of stroke patients with hemiplegia.Metod: From January 2018 to May 2019, 60 patients with stroke and hemiplegia in our hospital were randomly divided into control group(30 cases) and observation group(30 cases) according to simple digital table method.Patients in the control group were given routine treatment of stroke hemiplegia after admission, while patients in the observation group were given early rehabilitation training on the basis of routine treatment.After 4 weeks of intervention, the clinical efficacy, motor function, improvement of activities of daily living and quality of life were compared between the two groups.Results: The total effective rate of treatment in the observation group was higher than that in the control group(P<0.05);The scores of Fugl-Meyer exercise scale and Barthel index scale were higher than those before treatment(P<0.05), and the scores of Fugl-Meyer exercise scale and Barthel index scale in the observation group were higher than those in the control group(P<0.05);The GQOLI score and KPS score of the two groups after treatment were improved(P<0.05), and the GQOLI score and KPS score of the observation group were better than those of the control group(P<0.05).Conclusion: Early rehabilitation training in the clinical treatment of stroke patients with hemiplegia during hospitalization can significantly improve the motor function of limbs, improve the level of activities of daily life, and effectively improve the psychological state of patients, achieve better therapeutic effect, which is worthy of wide clinical promotion.